The treatment of fractures proximal and distal tibia is challenging, because the limited soft tissue envelope poor vascularity. best remains controversial it depends on fracture morphology, displacement comminution. Treatment options vary from closed reduction cast to open internal fixation with plate. Open plate can result in extensive dissection devitalization. We conducted a study management...

BACKGROUND This study was to compare clinical and radiographic outcomes with three different implants and evaluate the effectiveness of minimally invasive plate osteosynthesis (MIPO) technique for the distal fibular fractures. METHODS We performed a retrospective cohort single-surgical team single-facility study between 2000 and 2011. 147 patients receiving surgical interventions for closed, ...

Le niveau de performance d’un chirurgien pour une technique chirurgicale donnée s’étend 1 (débutant) à 5 (expert). « compagnonnage » permet d’acquérir le 3. La simple expérience rarement 5, contrairement la pratique délibérée qui consiste améliorer sa en se fixant des objectifs d’apprentissage partir son propre retour d’expérience. L’hypothèse était que les résultats l’apprentissage d’une d’ost...

Introduction: The treatment of fractures of proximal and distal tibia is challenging, because of the limited soft tissue envelope and poor vascularity. The best treatment remains controversial and it depends on the fracture morphology, displacement and comminution. Treatment options vary from closed reduction and cast to open reduction and internal fixation with plate. Open reduction and intern...